Vpdes Sewage Sludge Permit Application For Permit Reissuance Page 2

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VPDES Sewage Sludge Permit Application for Permit Reissuance
Part 2 – Biosolids Characterization (To be completed by all facilities that generate biosolids that are land applied.)
1.
Have there been changes to sludge treatment processes or storage facilities since the previous permit issuance/reissuance?
Yes
No
2. Do the biosolids generated under this permit that will be land applied meet one of the Class A pathogen requirements
in 9VAC25-31-710 A 3 through A 8 or Class B pathogen requirements in 9VAC25-31-710 B 1 through B 4?
Yes
No
Identify the pathogen reduction option utilized to demonstrate compliance with the pathogen reductions requirements and provide the data
that demonstrate compliance with the applicable alternative.
3. Do the biosolids generated under this permit that will be land applied meet one of the vector attraction reduction
requirements in 9VAC25-31-720 B 1 through B 10?
Yes
No
Identify the vector attraction reduction option utilized to demonstrate compliance with the vector attraction reductions requirements and
provide the data that demonstrate compliance with the applicable alternative.
4. Do the biosolids to be land applied meet the ceiling/pollutant concentrations in 9VAC25-31-540 B?
Yes
No
5. Has data from the most recent 3 samples for pH (S.U.), Percent Solids (%), Ammonium Nitrogen (mg/kg), Nitrate Nitrogen
Yes
No
(mg/kg), Total Kjeldahl Nitrogen (mg/kg), Total Phosphorus (mg/kg), Total Potassium (mg/kg), Alkalinity as CaCO
3
(mg/kg), Arsenic (mg/kg), Cadmium (mg/kg), Copper (mg/kg), Lead (mg/kg), Mercury (mg/kg), Nickel (mg/kg), Selenium
(mg/kg), Zinc (mg/kg) been submitted to DEQ?
The samples shall be no more than 4½ years old and each sampling date
shall be at least 1 month apart.
If no, provide the data with this application.
Part 3 – Land Application of Class B Biosolids (To be completed by all facilities that land apply Class B biosolids.)
1.
Provide to DEQ and to each locality in which biosolids are to be land applied, written evidence of financial responsibility. Evidence of financial
responsibility shall be provided in accordance with 9VAC25-31-100 P 9.
2. For each site, provide a properly completed landowner agreement for each landowner, using the most current Land Application Agreement -
Biosolids Form (VPDES Sewage Sludge Permit Application Form – Attachment to Section C).
3. Are any new land application fields proposed at this reissuance?
Yes
No
If yes, contact the DEQ Regional Office for additional submittal requirements.
4. For the currently permitted land application fields, are the previously submitted site booklets, maps and acreage accurate.
Yes
No
If no, contact the DEQ Regional Office for additional submittal requirements.
5. Does the facility’s Biosolids Management Plan on file with DEQ include the following minimum information?
Yes
No
a. An odor control plan that addresses the abatement of odors resulting from the storage and/or land application of biosolids.
b. A description of the transport vehicles to be used.
c. Procedures for biosolids offloading at the land application site including spill prevention, cleanup (including vehicle cleaning), field
reclamation, and emergency notification and cleanup measures.
d. A description of the land application equipment including procedures for calibrating equipment to ensure uniform distribution and
appropriate loading rates.
e. Procedures used to ensure that land application activities address notification requirements, signage requirements, slope restrictions,
operation limitations during periods of inclement weather, soil pH requirements, buffer zone requirements, and site restrictions.
f. Any other information necessary to ensure compliance with the requirements of the Biosolids Program of the VPDES Permit Regulation
(9VAC25-31-420 through 720).
Certification
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons
who manage the system or those persons directly responsible for gathering the information, the information is, to the best of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine
and imprisonment for knowing violations.
Name and Official Title
Signature
Telephone number / Email (
)
/
Date signed
(Based on a review of this information, it may be necessary to submit additional information to meet other legal or technical review requirements.)
Rev 7/18/2012
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